| Our Lady Of Good Counsel Therapy Limited Liability Company | |
|
1001 Twelve Oaks Center Dr Ste 1030f Wayzata MN 55391-4320 | |
| (612) 946-8983 | |
| Not Available |
| Full Name | Our Lady Of Good Counsel Therapy Limited Liability Company |
|---|---|
| Speciality | Clinic/center |
| Location | 1001 Twelve Oaks Center Dr Ste 1030f, Wayzata, Minnesota |
| Authorized Official Name and Position | William Graczyk (OWNER) |
| Authorized Official Contact | 6129468983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Good Counsel Therapy Limited Liability Company 1001 Twelve Oaks Center Dr Ste 1030f Wayzata MN 55391-4320 Ph: () - | Our Lady Of Good Counsel Therapy Limited Liability Company 1001 Twelve Oaks Center Dr Ste 1030f Wayzata MN 55391-4320 Ph: (612) 946-8983 |
| NPI Number | 1992489660 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992489660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Minneapolis Integrative Medicine Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Wayzata Blvd E Ste 110, Wayzata, MN 55391 Phone: 952-222-7670 Fax: 763-210-6809 |